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-7- <br /> Certification• <br /> As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements of the <br /> following terms and conditions: <br /> 1. All necessary approvals from local government have been applied for(Rule 1.6.2(1)and(2)); <br /> 2. This entire mining operation will not extract more than 70,000 tons of mineral,overburden,or combination thereof in <br /> any calendar year(defined in C.R.S.34-32-110(2)(a)); <br /> 3. This mining operation will not adversely affect the stability of any significant, valuable and permanent man-made <br /> structure(s) located within two hundred(200) feet of the affected lands. (However,where there is an agreement between the <br /> applicant/operator and the persons having an interest in the structure that damage to the structure is to be compensated for by the <br /> applicant/operator(Section 34-32-115(4Xd), C.R.S. 1984, as amended), then mining may occur within 200 feet. Proof of an <br /> agreement must be submitted to the Office prior to the decision date.) <br /> 4. No mining operation will be located on lands where such operations are prohibited by law(Section 34-32-115(4)(f), <br /> C.R.S. 1984,as amended); <br /> 5. As the applicant/operator, I do not have any minmg/prospectmg operations in this state of Colorado currently in <br /> violation of the provisions of the Mined Land Reclamation Act(Section 34-32-120, C.RS. 1984, as amended) as determined <br /> through a Board finding. <br /> 6. I understand that statements in the application are being made under penalty of perjury and that false statements made <br /> herein are punishable as a Class l misdemeanor pursuant to Section 18-8-503,C.R.S 1984,as amended. <br /> This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32-110,C.R.S., of the Mined Land <br /> Reclamation Act. Any alteration or modification of this form shall result in voiding any permit issued on the allered or modified <br /> form and subject the operator to cease and desist orders and civil penalties for operating without a permit pursuant to section <br /> 34-32-123,CR.& <br /> Signed and dated this day of L)G L+ 261 <br /> CRG Mining LLC If Corporation Attest(Sea]) <br /> Applicant/Operator <br /> By: By: <br /> Corporate Secretary or Equivalent <br /> Title: /$1 st Qta Town/City/County Clerk <br /> State of CAUJy-ak ) <br /> ss. <br /> County of l'9.L ru kmn_ ) <br /> The foregoing instrument was acknowledged before me this_ day of <br /> by R-VtOP.1't CSy10�2 '�ih as (VIQ�YIq AyFii� ofCJ <br /> MICHELLE DOMINGUEZ Notary Pub is q (p <br /> NOTARY PUBLIC My Commission expires: l• d <br /> STATE OF COLORADO IGNATURES MUST BE IN BLUE INK <br /> NOTARY ID#19984018370 <br /> My Commission Expires September 11,2018 <br />